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Mandibular reconstruction using AO plates.

D W Klotch1, J Prein

  • 1Department of Otolaryngology and Head and Neck Surgery, State University of New York, Buffalo.

American Journal of Surgery
|October 1, 1987
PubMed
Summary
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The AO plate offers an 86.7% success rate for mandibular reconstruction, providing a viable option for many patients needing mandibular resection. Careful soft tissue coverage is crucial for optimal outcomes.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Reconstructive Surgery

Background:

  • Mandibular defects pose significant reconstructive challenges.
  • The AO plate is a widely used alloplastic device for mandibular reconstruction.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of AO plate reconstruction for mandibular defects.
  • To identify factors influencing success and complications.

Main Methods:

  • Retrospective analysis of patients undergoing mandibular resection and reconstruction with AO plates.
  • Assessment of success rates, morbidity, and complications such as plate extrusion and fistula formation.

Main Results:

  • The AO plate demonstrated an 86.7% success rate in this series.

Related Experiment Videos

  • Adequate soft tissue coverage is critical for preventing complications, especially in radiated patients.
  • Bone reconstruction is recommended to prevent plate fracture and facilitate denture placement.
  • Conclusions:

    • The AO plate is an acceptable reconstructive choice for mandibular defects, offering good functional and cosmetic results.
    • Surgeon expertise, treatment plan, and patient condition influence the choice between AO plates and free vascularized bone grafts.